Author Question: An older adult widow tells the nurse that he is having problems sleeping at night. He misses his ... (Read 28 times)

laurencescou · **on:** Jul 22, 2018

An older adult widow tells the nurse that he is having problems sleeping at night. He misses his wife. The nurse recognizes this may be one reason for this patient's problem sleeping. The nurse also recognizes that older patients:

A. are difficult to assess.
B. take less time to fall asleep.
C. have a reduced ability to sleep deeply.
D. require more sleep than middle-age adults.

Question 2

A nurse is assisting a patient with right-sided hemiplegia to transfer from the bed to a chair. The most appropriate action for the nurse is to:

A. support the affected (right) side.
B. grab the patient under the arms while assisting with the transfer.
C. stand on the stronger side of the patient to ensure less strain on the nurse's back.
D. encourage the patient not to use the hand rests because of their restrictions on movement.

katieost · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Complaints of sleeping difficulties increase with age. Older adults spend more time in stage 1 and have less stage 3 and 4 NREM. Older adults awaken more often during the night, and it takes more time to fall asleep. Sleep efficiency is reduced because they increase the number of naps taken during the day.

Answer to Question 2

A
When doing a three-person, each person assumes responsibility for one of three areas: head and shoulders, hips and thighs, and ankles. Nurses should always seek assistance when transferring patients to decrease the incidence of back strain.